Superior sagittal sinus thrombosis is an uncommon stroke syndrome which may cause serious complications, including increased intracranial pressure, seizures or unilateral or bilateral hemiplegia with motor deficit more prominent in the lower limbs and proximal upper limbs. We present a 57-year-old male patient who had seizures and recurrent transient ischemic attacks in 1995. He was shown to have superior sagittal sinus thrombosis on magnetic resonance imaging and received oral anticoagulation therapy. Four months after initial treatment he had hemorrhagic infarctions over bilateral cerebral hemispheres and bilateral hemiplegia resulted. Little neurologic recovery was noted during the two-year follow up. The possible causes of the disease and the potential treatment regimen are reviewed and discussed.
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